This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
Medicare Nurse Practitioner (Remote)
Columbia, MD · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
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Medicare Nurse Practitioner (Remote)
Columbia, MD · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a ...
Virtual Registered Nurse (Full-Time Nights)
Silver Spring, MD · On-site +1
$42.58 - $57.47/hr
This is NOT a remote work from home position. Position Purpose : * Exciting Opportunity to Join our ... The Together team model shifts responsibility to a 3 person-team. (bedside RN, CNA) and Virtual ...
Virtual Registered Nurse (Full-Time Nights)
Silver Spring, MD · On-site +1
$42.58 - $57.47/hr
This is NOT a remote work from home position. Position Purpose : * Exciting Opportunity to Join our ... The Together team model shifts responsibility to a 3 person-team. (bedside RN, CNA) and Virtual ...
Medicare Nurse Practitioner (Remote)
Washington, DC · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
Quick apply
Medicare Nurse Practitioner (Remote)
Washington, DC · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...
Functions as a subject matter expert in the PCMH concept and protocols Leads RNs and performs ... This is a work from home and work in the physician's office position (remote). Succesful candidate ...
Functions as a subject matter expert in the PCMH concept and protocols Leads RNs and performs ... This is a work from home and work in the physician's office position (remote). Succesful candidate ...
Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extension License/Certifications: Active, unrestricted U.S. RN license Education: Nursing degree from accredited U.S ...
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Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extension License/Certifications: Active, unrestricted U.S. RN license Education: Nursing degree from accredited U.S ...
Health Specialist (RN, Remote and Temporary)
VA · On-site +1
General information Job Posting Title Health Specialist (RN, Remote and Temporary) Date Thursday, May 28, 2026 City Remote Country United States Working time Full-time Description & Requirements The ...
Health Specialist (RN, Remote and Temporary)
VA · On-site +1
General information Job Posting Title Health Specialist (RN, Remote and Temporary) Date Thursday, May 28, 2026 City Remote Country United States Working time Full-time Description & Requirements The ...
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Integrated Case Manager- Registered Nurse
Woodbridge, VA · Remote
$10K/mo
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Integrated Case Manager- Registered Nurse
Woodbridge, VA · Remote
$10K/mo
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Registered Nurse
Washington, DC · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
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Registered Nurse
Washington, DC · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
RN
Alexandria, VA · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Quick apply
RN
Alexandria, VA · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Registered Nurse
Alexandria, VA · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Quick apply
Registered Nurse
Alexandria, VA · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
RN
Washington, DC · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Quick apply
RN
Washington, DC · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Senior Accreditation Manager (Nurse Survey Review) Remote
Arlington, VA · Remote
$80K - $90K/yr
Registered Nurse (RN) with a Bachelor's degree in Nursing or a related healthcare field * 5+ years ... Remote Flexibility: Work from anywhere in the U.S. while collaborating with a high-performing team.
Quick apply
Senior Accreditation Manager (Nurse Survey Review) Remote
Arlington, VA · Remote
$80K - $90K/yr
Registered Nurse (RN) with a Bachelor's degree in Nursing or a related healthcare field * 5+ years ... Remote Flexibility: Work from anywhere in the U.S. while collaborating with a high-performing team.
Virtual Nurse (Full-Time Nights)
Silver Spring, MD · On-site +1
$42.58 - $57.47/hr
Please note that this is a Virtual RN position but the employee will physically work on-site at the central HUB located at Holy Cross Health in Silver Spring, Maryland. This is not a remote work from ...
Virtual Nurse (Full-Time Nights)
Silver Spring, MD · On-site +1
$42.58 - $57.47/hr
Please note that this is a Virtual RN position but the employee will physically work on-site at the central HUB located at Holy Cross Health in Silver Spring, Maryland. This is not a remote work from ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Fairfax, VA · Remote
$79K - $101K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Fairfax, VA · Remote
$79K - $101K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
Overnight Remote Endoscopy Rn information
What is the difference between Overnight Remote Endoscopy Rn vs Endoscopy Technician?
| Aspect | Overnight Remote Endoscopy Rn | Endoscopy Technician |
|---|---|---|
| Credentials | Registered Nurse (RN) license, specialized endoscopy training | Certified Endoscopy Technician or related certification |
| Work Environment | Remote monitoring, telehealth platforms, hospital or clinic settings | Endoscopy labs, hospitals, outpatient clinics |
| Job Responsibilities | Oversees procedures remotely, patient monitoring, assisting physicians | Prepares equipment, assists during procedures, patient prep |
While both roles support endoscopy procedures, the Overnight Remote Endoscopy Rn primarily monitors and assists remotely as a registered nurse, whereas the Endoscopy Technician handles hands-on technical tasks in clinical settings. The RN role requires licensure and remote work capabilities, making it distinct in responsibilities and work environment.
How much does a travel endoscopy nurse make?
SIU Nurse Auditor, RN, CPC (Full-time, Remote)
Integrity Management Services, Inc.Alexandria, VA • On-site, Remote
Full-time
Posted 4 days ago
Job description
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
- Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
- Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
- Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
- Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
- Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
- Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.
Requirements
Qualifications
- Education:
- Minimum Associate's Degree in Nursing required;
- Licensure & Certification:
- Current, unrestricted Registered Nurse (RN) license in applicable state(s).
- Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
- Experience:
- Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
- Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
- Prior experience with healthcare fraud investigation and auditing is highly preferred.
- Skills:
- Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
- Analytical and problem-solving skills with a keen attention to detail.
- Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
- Strong proficiency in Microsoft Office and familiarity with audit tracking systems.
Preferred Traits
- Meticulous, organized, and objective in analyzing claims and documentation.
- Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
- Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009